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<br />• <br />-3- <br />of or DP Entry <br /> Permitted Actual Proposed <br />7. Mineral ownership: <br />(indicate currently <br />permitted acre far each) <br />Federal o ac., <br />State o ac., <br />Private 5: <br />.770 3c. , <br />- <br />Indian o ac. <br />8. Surface wnership: <br />(indicate currently <br />permitted acreage for <br />each) <br />Federal _~ ac., <br />State o ac.,• <br />Private s,77o3c., <br />Indian ~2 ac. <br />9. Affected area (in acres) 579 579 0 <br />10. Disturbed area (in acres) iai ini o <br />11. Acreage of area reclaimed <br />in previous permit term o 0 0 <br />a) backfilled and graded n/a n/a <br />b) retopsoiled n/a n/a <br />c) reseeded n/a n/a <br />12. Acreage for which bond <br />has been released o 0 0 <br />a) 60 percent n/a n/a <br />b) 85 percent n/a n/a <br />c) 100 percent n/a n/a <br />13. Renewal Term Requested <br />(Years) n/a n/a s <br />IPJote: If the application contai ns proposed (ne w) acreage, then a permit <br />I revision application form must also be c ompleted for those acreages. I <br />14. Type of Mine (check one): x Underground, Surface, <br />Combined Surface and underground, Load-Out, Other. <br />15. Current Permit Status (check one): x Active, Temporary Cessation, <br />Permanent Cessation (reclamation only), Suspended <br />16. Current Estimated Life of J4ine in years: 2 0 <br />r1 <br />U <br />